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All Journal Adaara: Jurnal Manajemen Pendidikan Islam FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Journal Keperawatan Jurnal Kesehatan Komunitas Indonesia Jurnal Osadhawedyah bidang Medis dan Kesehatan Jurnal Ilmiah Ilmu Kesehatan
Wulandari, Isti
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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The Result Implementation Of Finger Hold On Laparatomy Post-Operative Patients at The HCU Cempaka Room Of Dr. Moewardi Regional General Hospital (RSUD) in Surakarta Maiyun, Niken Palupy; Prajayanti, Eska Dwi; Wulandari, Isti
Journal Keperawatan Vol. 3 No. 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v3i2.76

Abstract

Background: Surgery induces changes in the body's tissue structure, triggering the body's recovery response to maintain balance (homeostasis). This process involves chemical reactions in the body that produce pain sensations in patients. Finger hold technique is a combination of deep breathing relaxation and grasping the fingers relatively quickly. The sensation experienced during the use of this technique provides a deeper sense of comfort and relaxation, as well as increasing tolerance to pain. Purpose:  To determine the outcomes of applying finger hold technique on laparatomy post-operative patients at the HCU Cempaka of Dr. Moewardi Regional General Hospital (RSUD) in Surakarta. Methods: The type of research is descriptive research in the form of a case study involving 2 postoperative patients. The research instrument uses the Numeric Rating Scale (NRS) to measure the pain scale. Results: The results of the study showed that before the application of finger grip therapy, Mrs. S obtained an NRS score of 8 (severe pain), while Mrs. N obtained an NRS score of 9 (severe pain). After the application of finger grip therapy for 3 consecutive days, Mrs. S obtained an NRS score of 3, likewise for Mrs. N after the application, an NRS score of 3 was obtained. Conclusion: After applying finger grip for 3 consecutive days on Mrs. S and Mrs. N, it can be concluded that there was a decrease in the level of pain in both patients from severe pain to mild pain.
PENERAPAN DZIKIR TERHADAP TINGKAT KECEMASAN PASIEN PRE OPERATIF BEDAH MAYOR DI BANGSAL FLAMBOYAN 7 RUMAH SAKIT UMUM DAERAH Dr.MOEWARDI SURAKARTA Syafi’i Ma’arif, Imtihan; Wulandari, Isti; Dwi Prajayanti, Eska
Jurnal Ilmiah Ilmu Kesehatan Vol. 2 No. 3 (2024): Volume 2 Nomor 3 Tahun 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jiik.v2i3.32903

Abstract

Tindakan operasi bedah telah menjadi komponen pelayanan kesehatan yang essensial pada banyak negara di dunia. World Health Organization (WHO) jumlah klien yang menjalani tindakan operasi mencapai angka peningkatan yang sangat signifikan setiap tahunnya. Diperkirakan setiap tahun ada 165 juta tindakan bedah di lakukan di seluruh Dunia. Tercatat di tahun 2020 ada 234 juta jiwa klien di semua rumah sakit di dunia. Tindakan operasi/pembedahan di Indonesia tahun 2020 mencapai hingga 1,2 juta jiwa. Gejala kecemasan yang dialami pasien pre operasi dapat menyebabkan munculya tandatanda stimulasi simpatis dan stres. Untuk mengatasi kecemasan terapi non farmakologinya yaitu dengan dzikir. Mengetahui hasil penerapan “Terapi Dzikir Terhadap Tingkat Kecemasan Pasien Pre Oprasi Bedah Mayor Di Bangsal Flamboyan 7 RSUD dr. Moewardi Surakarta”. Penerapan bersifat deskriptif, desain penelitian studi kasus ini menggunakan One grub Pretest dan Postest, sampel 2 responden, instrument penelitian kuesioner Zung Self-rating Anxiety Scale (ZSAS), penerapan menggunakan terapi dzikir. Menunjukkan data sesudah dilakukan penerapan terapi dzikir di dapatkan pasien mengalami penurunan kecemasan selama di ruang bangsal flamboyan 7. Diperoleh hasil Ny.E dan Ny.W mengalami kecemasan ringan. Terapi dzikir yang di lakukan di ruang bangsal flamboyan 7 dapat menurunkan tingkat kecemasan pada pasien pre oprasi yang sebelum di lakukan di kategorikan cemas sedang kemudian turun menjadi cemas ringan.
Implementasi Manajemen Kurikulum untuk Menghasilkan Kesejahteraan Sekolah Wulandari, Isti; Widodo, Hendro; Sukirman, Sukirman
Adaara: Jurnal Manajemen Pendidikan Islam Vol. 15 No. 2 (2025): Islamic Education Management
Publisher : Program Studi Manajemen Pendidikan Islam IAIN Bone

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Abstract

Curriculum management is a strategic component in ensuring educational quality, particularly in the context of vocational education such as Vocational High Schools (SMK). Changes in national education policy and the dynamics of industry demand an adaptive, participatory, and contextual curriculum management system. This study aims to uncover how the implementation of curriculum management at SMK Muhammadiyah 1 Bambanglipuro contributes to improving school well-being, encompassing the dimensions of teachers, students, facilities, and institutions. A qualitative approach with a phenomenological design was used to understand the direct experiences of educational stakeholders related to the curriculum management process at the school. Data were obtained through in-depth interviews, observations, and documentation studies with three main participants: the principal, the vice principal for curriculum, and teachers. The results indicate that the implementation of curriculum management reflects synergy with industry, adjustments to the Independent Curriculum, and ongoing teacher training. Collaborative practices, such as the Teaching Factory with industry partners (Astra, Daihatsu, Jogja TV), also support the achievement of school well-being, both professionally, materially, and institutionally. This study recommends strengthening the curriculum evaluation system and developing industry partnerships as sustainable strategies to improve school quality and well-being.
Analysis of the Emergency Nursing Staff Need Using Baseline Emergency Staffing Tool (Best) In Indonesia: A Prospective Study Putra, Kuswantoro Rusca; Rahmawati, Ike Nesdia; Noviyanti, Linda Wieke; Wulandari, Isti; Susilowati, Ratna
Fundamental and Management Nursing Journal Vol. 7 No. 1 (2024): VOLUME 7 ISSUE 1 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i1.48569

Abstract

Introduction: Patient density in the emergency room (ER) is a worldwide phenomenon and a major health-care issue. Because of the high degree of patient severity and the dynamic workflow, treating patients in the ER is frequently delayed. But, determining the need for nurses in the ER is difficult since patients arrive at random, including several complex situations, the quantity of patients, and the length of stay shifting greatly. This study aims to assess the emergency nursing staff need by determining the nurses' workload and patient dependency level in emergency room of the hospital using the baseline emergency staffing tool (BEST). Methods: A prospective observational research design was used in this study. A consecutive sample of 101 nurses selected in seven-day period in emergency department. The research was carried out in two government general hospitals situated in the provinces of Central Java and East Java. The BEST was used to estimate nursing staff requirement in emergency department and patient dependency was assessed using the Jones Dependency Tool (JDT). Results: Calculation of staff requirements in the ER of the first hospital has an average of 16 nurses, while the second hospital has an average of 30 people. The staffing challenges faced by these hospitals are significant, with a discrepancy of 3 nurses and 14 individuals in the ER. Based on the official hours, the highest number of staff needed in the evening and night while the relatively low number is in the morning. Conclusions: This gap in staffing might have an effect on how patient's outcomes and poses potential risks. To maintain the greatest standard of service, it is critical to account for changes in patient volume and alter staffing levels accordingly
PENERAPAN GUIDE IMAGERY RELAXATION UNTUK MENURUNKAN NYERI PASIEN CEDERA KEPALA RINGAN DI RSUD Dr. MOEWARDI SURAKARTA Devi, Sinta Septiana; Husain, Fida'; Wulandari, Isti
Jurnal Osadhawedyah Vol 3 No 4 (2025): Jurnal Osadhawedyah | Nopember 2025 - Januari 2026
Publisher : PT NAFATIMAH GRESIK PUSTAKA

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Abstract

Latar Belakang: cedera kepala merupakan kondisi dimana struktur kepala mengalami benturan dari luar dan berpotensi menimbulkan gangguan pada fungsi otak kondisi cedera kepala meliputi luka ringan, memar di kulit kepala, bengkak, perdarahan, dislokasi. Tujuan: untuk mengetahui hasil penerapan Guide Imagery Relaxation dalam menurunkan nyeri Metode Penerapan dilakukan dengan metode deskriptif dengan studi kasus pada penerapan ini dilakukan pengukuran tingkat nyeri menggunakan Numeric Rating Scale kepada 2 responden dengan diagnosa Cedera Kepala Ringan dilakukan selama 1x dalam sehari dengan waktu 15 menit. Hasil: penerapan yang telah dilakukan, didapatkan bahwa pada responden I mengalami penurunan skala nyeri dari skala 6 ke skala 3, sedangkan pada responden II mengalami peningkatan skala nyeri dari skala 6 ke skala 2 Kesimpulan: Pemberian terapi Guide Imagery Relaxation dapat dijadikan salah satu teknik non farmakologi atau intervensi mandiri mengurangi rasa nyeri pada pasien Cidera Kepala Ringan.
Application of Finger-Hold Relaxation Technique on Postoperative Pain Intensity in Laparotomy Patients: A Case Study in dr. Moewardi General Hospital, Surakarta Kayasa, Auliasa Hanum; Prajayanti, Eska Dwi; Wulandari, Isti
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 3 (2025): December 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i3.524

Abstract

Background: Effective postoperative pain management is essential to enhance recovery, reduce complications, and improve patient comfort following major abdominal surgery such as laparotomy. Non-pharmacological interventions offer safe adjuncts to conventional analgesia, particularly in resource-conscious or multimodal pain management settings. Objective: This study aimed to evaluate the effectiveness of the finger grip relaxation technique in reducing pain intensity among post-laparotomy patients. Methods: A descriptive case study was conducted with two female patients diagnosed with colon cancer who underwent elective laparotomy at Flamboyan 5 Ward, Dr. Moewardi General Hospital, Surakarta, Indonesia. Pain intensity was assessed using the Numeric Rating Scale (NRS; 0–10) before and after the intervention. The finger grip relaxation technique, a simple, self-administered method involving rhythmic gripping and releasing of the fingers, was applied once daily for three consecutive days, with each session lasting 20 minutes. Results: Both patients exhibited clinically meaningful reductions in pain intensity following the intervention. Patient A’s NRS score decreased from 4 to 2, and Patient S’s score declined from 6 to 3, indicating a shift from moderate to mild pain levels. No adverse effects were observed. Conclusion: The finger grip relaxation technique is a feasible, non-invasive, and low-cost adjunctive strategy for managing acute postoperative pain after laparotomy. These preliminary findings support the integration of this approach into multimodal pain management protocols. However, larger controlled trials are warranted to confirm efficacy, determine optimal dosing, and assess broader clinical applicability.
Co-Authors Devi, Sinta Septiana Eska Dwi Prajayanti Fida’ Husain Hendro Widodo Ike Nesdia Rahmawati, Ike Nesdia Kayasa, Auliasa Hanum Kuswantoro Rusca Putra Maiyun, Niken Palupy noviyanti, linda wieke Sukirman Sukirman Susilowati, Ratna Syafi’I Ma’arif, Imtihan